Deck 14: Mental, behavioral, and Neuro developmental Disorders

Question 1

Patient presented to the ER requesting detox.Patient had a previous admission for heroin dependence 2 years ago.Patient used about $50 per day and occasionally smoked cocaine.Patient is unemployed.Patient was admitted,and the detoxification protocol was implemented.The patient did experience some mild withdrawal symptoms.The patient was discharged after 3 days and was instructed to attend 90 NA meetings in 90 days and to find a sponsor.
Discharge Diagnosis: Heroin dependence with withdrawal.
Cocaine abuse.

A)F11.21,F14.120,HZ5DZZZ
B)F11.20,F14.14,Z56.0,HZ91ZZZ
C)F11.229,F14.10,HZ2ZZZ
D)F11.23,F14.10,Z56.0,HZ2ZZZZ

Answer 1

D

Question 2

Which of the following is NOT one of the five types of schizophrenia?

A)Undifferentiated
B)Paranoid
C)Manoliphic
D)Catatonic

Answer 2

C

Question 3

A 28-year-old man was brought to the ER by a friend who stated that the patient had been acting bizarrely.The patient has been irritable,pacing the apartment,and talking nonstop.He was admitted to the psychiatric unit for management of his manic symptoms.
Final Diagnosis: Bipolar affective disease.
Severe manic phase.Recurrent episode with psychosis.

A)F31.2
B)F31.73
C)F31.74
D)F31.10

Answer 3

A

Question 4

Fragile X syndrome with mild intellectual disability.

A)F71,Q99.2
B)Q99.2,F71
C)F70,Q99.2
D)Q99.2,F70

Question 5

Patient was admitted to the psychiatric floor for evaluation of mood disorder.After extensive testing and evaluation,it was determined that patient was suffering from major depression that is severe in nature and that some psychotic features are present.
Final Diagnosis: Major depressive disorder,severe with psychosis.

A)F34.1
B)F33.3
C)F32.3
D)F32.4

Question 6

An adult female patient is admitted for treatment of anorexia nervosa.The patient has moderate malnutrition,severe electrolyte imbalance,and nutritional cardiomyopathy.The dietitian documents a BMI of 18.

A)F50.00,E44.0 E87.8,I43,Z68.1
B)E44.0,F50.00,E87.8,I43
C)E87.8,F50.02,E44.0,I43,Z68.1
D)F50.01,E44.1,E87.8,I43

Question 7

What drug could be given to treat depression?

A)Adderall
B)Zoloft
C)Valium
D)Dilantin

Question 8

Patient is admitted with abdominal pain.After investigation,it is determined that the patient has alcoholic gastritis.Patient has a history of alcohol dependence and has no desire to stop drinking.

A)F10.220,K29.21
B)K29.21,F10.220
C)F10.20,K29.20
D)K29.20,F10.20

Question 9

Which of the following is NOT a sign/symptom of alcoholism?

A)The strong compulsion to drink
B)Regularly drinking on weekends or days off from work
C)The ability to stop drinking once the person starts
D)Increasing tolerance

Question 10

The most common type of intellectual disability is the mild type,which affects ____ of those who have intellectual disabilities.

A)20%
B)50%
C)85%
D)100%

Question 11

Seizure due to alcohol withdrawal.Patient is dependent on alcohol and usually drinks every day.

A)R56.9,F10.230
B)F10.230,R56.9
C)F10.221,R56.9
D)F10.239,R56.1

Question 12

A patient is admitted to the hospital for confusion.According to the family,the patient has been more difficult to manage at home and no longer is able to care for himself.The patient has known Alzheimer's disease.No medical cause could be determined for the patient's increasing confusion,and it is believed that nursing home placement is appropriate.
Discharge Diagnosis: Alzheimer's dementia.

A)G30.9,F03
B)F02.80,G30.9
C)G30.9,F02.80
D)G30.8,F02.80

Question 13

Which of the following can cause intellectual disability in a child during the mother's pregnancy?

A)Malnutrition
B)Mother's use of alcohol or drugs
C)Environmental toxins such as lead or mercury
D)All of the above

Question 14

Which of the following is NOT associated with psychosis?

A)Visual hallucinations
B)Disorganized thinking
C)Paranoia
D)None of the above is correct

Question 15

Patient was admitted with delirium tremens as a result of alcohol withdrawal.Patient has had a bout of acute gastroenteritis and has not had a drink for a couple of days.Patient was admitted and was started on IV fluids and a banana bag.Patient is hypokalemic with a potassium level of 3.0 and is dehydrated.Patient's potassium was repleted with oral medication.
Final Diagnoses: Acute gastroenteritis.
Alcohol withdrawal.
Hypokalemia.

A)K52.9,F10.231,E87.5,E86.0
B)F10.231,K52.9,E87.6,E86.0
C)E86.0,K52.9,F10.231
D)F10.250,K52.9,E87.6,E86.0

Question 16

A patient is admitted following seizurelike activity.It is determined that the patient has a conversion disorder with seizures.

A)F44.5
B)G40.89
C)F44.5,R56.9
D)R56.9

Question 17

Adjustment disorder with depressed mood due to unemployment.

A)Z56.0,F43.21
B)F43.21,Z56.0
C)F43.20
D)F43.23,Z56.0

Question 18

What drug could be given to treat ADD or ADHD?

A)Dilantin
B)Librium
C)Paxil
D)Ritalin

Question 19

Patient is receiving behavioral therapy for treatment of chronic pain syndrome due to psychological factors.

A)G89.4,F45.42
B)G89.21,F45.42
C)G89.11,F45.41
D)F45.41,G89.11

Question 20

Severe intellectual disability is classified when the person has an IQ of ____.

A)50 to 70
B)35 to 49
C)20 to 34
D)less than 20

Question 21

Stress can be a contributing factor in mental disorders.

Question 22

Patient was admitted because of aggressive behavior and wandering.Neurology diagnosed dementia due to Lewy bodies.

A)G31.83,F03.91,Z91.83
B)F03.91,G31.82
C)F02.81,G31.83
D)G31.83,F02.81,Z91.83

Question 23

Drug withdrawal treatment depends on the drug from which a person is having withdrawal.

Question 24

In ICD-10-CM,a past history of drug and alcohol abuse is assigned codes for "in remission."

Question 25

Patient was admitted for psychiatric care for acute posttraumatic stress disorder.

A)F43.10
B)F43.11
C)F43.12
D)F43.8

Question 26

Alcohol withdrawal symptoms vary in severity from mild ____________________,____________________,and ____________________ to the worst form of delirium tremens (DTs).

Question 27

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
A disorder of the brain

Question 28

____________________ is a progressive deterioration of mental faculties characterized by impairment of memory and one or more cognitive impairments.

Question 29

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Occur(s)when there has been a change in mood for a prolonged period of time

Question 30

ICD-10-CM does not have a history code for history of drug or alcohol abuse.

Question 31

____________________ is the active management of withdrawal symptoms in a patient who is physically dependent on alcohol or drugs.

Question 32

____________________ is a structured program with the goal to stop and recover from the use of drugs or alcohol.

Question 33

Seizures are a common form of alcohol withdrawal.

Question 34

An impaired mental state in which the perception of reality has become distorted is called ____________________.

Question 35

In ICD-10-CM the nicotine dependence codes identify the type of nicotine product such as cigarettes,chewing tobacco,or other tobacco product.

Question 36

The use of alcohol or drugs never has an effect in psychosis.

Question 37

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
The chronic,exaggerated worry,tension,and irritability that may be without cause or is more intense than in some situations

Question 38

Mental disorders are very particular about the body system they affect.

Question 39

Organic psychosis occurs because of deterioration in the brain and is usually progressive and irreversible.

Question 40

Patient was seen in the ER for dizziness,fatigue,and difficulty concentrating.Patient was seen for a head injury a couple of weeks ago.Physician documents postconcussional syndrome.

A)F07.81
B)F07.89
C)R42,R53.83,R41.3
D)F07.81,R42,R53.83

Question 41

Name one occurrence during birth that can cause intellectual disability.

Question 42

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
Assuming the appearance,manner,or roles traditionally associated with members of the opposite sex (cross-dressing)

Question 43

What are the two most common mood disorders?

Question 44

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Terrifying experience that occurs suddenly without any warning

Question 45

What do ADD and ADHD stand for?

Question 46

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The act of or gaining pleasure from inflicting physical or psychological pain on another

Question 47

What cognitive impairments can be caused by dementia?

Question 48

Panic agoraphobia: __________

Question 49

Major depressive disorder,recurrent,moderate: __________

Question 50

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies of the use of inanimate objects for sexual arousal or orgasm

Question 51

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
An anxiety disorder that is triggered by memories of a traumatic event

Question 52

Name some symptoms/signs that characterize ADD or ADHD.

Question 53

Munchausen's syndrome: __________

Question 54

Catatonic schizophrenia in remission: __________

Question 55

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies of exposing the genitals to an unsuspecting stranger

Question 56

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Irrational anxieties or fears that can interfere with one's everyday life routine

Question 57

MATCHING
Match the following definitions to the correct term.
a.Sexual problems
b.PTSD-posttraumatic stress disorder
c.Phobias
d.Panic disorder
e.Generalized anxiety disorder
f.Mood disorders
g.Schizophrenia
Problems that can be due to organic,medical,or psychological dysfunction that affect sexual function

Question 58

Korsakoff's alcoholic psychosis due to alcohol dependence: __________

Question 59

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The recurrent intense sexual urges and fantasies involving observation of unsuspecting people who are naked,disrobing,or engaging in sexual activity

Question 60

Match the following sexual disorders to the correct term.
a.Masochism
b.Fetishism
c.Exhibitionism
d.Sadism
e.Transvestism
f.Voyeurism
The act of or gaining pleasure from experiencing physical or psychological pain

Question 61

Adjustment insomnia: __________

Question 62

AIDS-related dementia: __________

Question 63

A patient is brought to the ER and is found to be intoxicated.The patient is homeless and is being treated for schizophrenia,alcohol dependence,and intermittent heroin abuse.The patient is also HIV positive and suffers from hepatitis C.All testing was normal,and the patient was discharged the next day.
Discharge Diagnosis: Alcohol intoxication.

Question 64

A patient has a history of PTSD and arrives at the ER with extreme anxiety.The patient has been noncompliant with medications and recently has been under a great deal of stress and indicates suicidal ideation.The patient is admitted for monitoring and reinstitution of medications for exacerbation of chronic PTSD.

Question 65

Homicidal ideation: __________

Question 66

Cirrhosis of liver due to alcohol dependence in remission: __________

Question 67

Asexual transsexualism: __________

Question 68

Psychogenic dyspareunia: __________

Question 69

Dementia with wandering: __________

Question 70

Active Heller's syndrome: __________

Question 71

ADHD,combined type: __________

Question 72

Family disruption due to parent's divorce: __________